MELVIN SYLVESTER MATHIS MED
NPI 1285490011
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since February 28, 2024
2709 KIRK AVE, BALTIMORE, MD 21218(410) 274-6689 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melvin Sylvester Mathis Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELVIN SYLVESTER MATHIS MED (NPI 1285490011) is an individual substance abuse rehabilitation facility provider in Baltimore, Maryland and active in the NPI registry since February 2024. He maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1285490011
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMELVIN SYLVESTER MATHISCredential: MED
Location Address2709 KIRK AVEBaltimore, MD 21218-4810
Mailing Address100 E Pennsylvania AveTowson, MD 21286-0704 · (410) 274-6689
Sole ProprietorYes
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1285490011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
2709 KIRK AVE, Baltimore, MD 21218

Secondary Practice Location 1

Location 12204 Cecil AveBaltimore, MD 21218-6304 · Phone (410) 274-6689

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
2709 KIRK AVE
BALTIMORE, MD 21218
Substance Abuse Rehabilitation Facility
2709 KIRK AVE
BALTIMORE, MD 21218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melvin Mathis's NPI number?

The NPI number for Melvin Mathis is 1285490011. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Melvin Mathis located?

Melvin Mathis practices at 2709 Kirk Ave, Baltimore, MD 21218. The listed phone number is (410) 274-6689.

What is Melvin Mathis's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Melvin Mathis was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.